Upstate Medical Physics, Inc.
Upstate Medical Physics, Inc.
 

“I have always found UMP professional, knowledgeable, prompt and courteous. They have always made sure we are compliant with regulations and informed of new ones."

Val Cronin
Vice President Imaging Services
Catholic Health System

 
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Services

Acceptance Testing

New York and many other states require that new imaging equipment be tested before first use on patients. This is also recommended in the ACR Standard of Practice and in their Accreditation programs. UMP has extensive experience providing acceptance testing for new imaging equipment, including radiographic and fluoroscopic X-ray, C-arms, CT units, Nuclear Medicine cameras, PET and PET/CT units, MR units, mammography equipment, CR readers and PACS workstations.

Through our thorough testing and measurements, we have been able to help clients verify that their equipment meets manufacturer specifications and regulatory requirements, as well as identify any problem areas that will need to be addressed to ensure that their substantial investment in new equipment is maximized.

Most of our clients have felt that the cost of acceptance testing by an independent, experienced physics group is extremely worthwhile when compared with the overall cost of the new imaging equipment. They are especially grateful on those occasions when we have discovered significant problems that require correction before patient imaging begins (and before full payment is made).

We believe acceptance testing by an independent physics group such as ours is akin to having your car or house inspected by an independent party prior to purchase. It’s a relatively small investment for a fairly complex piece of imaging equipment. In past acceptance testing for other clients, we have identified issues that had required corrective action by the vendor. We have built excellent collaborative relationships with local service engineers, because we work together to ensure your imaging equipment works at its optimum performance.

Q&A

Are there any requirements for acceptance testing?

Some states, like New York, require acceptance testing of all medical diagnostic equipment before first use on patients. “Diagnostic equipment,” includes Nuclear Imaging Systems (SPECT and PET), CR readers and plates, and PACS workstation displays. This clarifies the common misconception that acceptance testing is only required for x-ray producing equipment.

Click Here for the link to the NYS regulation for Acceptance Testing.

Can acceptance testing be done by the manufacturer?

In New York State, the Medical Physics Licensure Law (Article 166 of the Education Law) specifies that acceptance testing is one of the practices that may only be performed by a licensed medical physicist. In section 8702, under the “definition of the practice of medical physics” that “Acceptance testing” is listed within the scope of practice.

Note that the education law is not typically enforced by NYSDOH inspectors. The Medical Physics licensure law does not restrict unlicensed persons from acquiring data, but rather requires oversight from a licensed medical physicist.

The bottom line is that, in New York State, Part 16 (Health Law) says that all diagnostic imaging equipment must be acceptance tested, and Article 166 (Education Law) specifies that acceptance testing must be performed by a licensed medical physicist.

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ACR and IAC Accreditation Assistance
Each year, more imaging departments at hospitals and private centers are seeking to join others who have achieved accreditation by the American College of Radiology and/or IAC (ICANL, ICACTL, etc.) in various imaging modalities. UMP has developed substantial expertise assisting clients through the accreditation process by providing physics support for mammography, CT, MR, and Nuclear Medicine programs.

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Consulting – Regulatory, Quality Control, Technology
Medical imaging is becoming anything but simpler. Not only is the technology becoming increasingly complex, there are a multitude of regulatory requirements and quality control tests that change continually. We pride ourselves in providing prompt, professional advice on regulatory, quality, and technology issues for all our clients. Your answer is just a short phone call or email away. When necessary, UMP consults with a network of colleagues in the regulatory, manufacturing, and physics communities.

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Procedures & Manuals
Most regulators and accreditation organizations (such as JCAHO) require imaging departments to have current written procedures that document routine department activities. Written procedures also help to ensure all affected employees are aware of expected practices. UMP has written concise, straight-forward procedures and manuals for numerous clients, and can tailor documents to fit most any format.

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Annual/Periodic Testing

Magnetic Resonance (MR)
UMP has been performing MR Medical Physics Surveys for about 10 years when we purchased our first ACR MR Accreditation Program (MRAP) phantom. Though not required by NYSDOH (since no ionizing radiation is used), our clients have asked us to perform this service in increasing numbers over the past few years.

In 2005, the ACR MRAP has required that copies of the annual medical physics survey be submitted with accreditation materials for each scanner. Until 2005, the ACR would accept MRAP applications without this documentation, but no longer according to Theresa Branham, MRAP Manager at ACR.

The ACR MRAP Site Instructions recommend that facilities utilize their medical physicist to assist with the phantom imaging (acquisition and quantitative analysis) before these images are submitted to ACR. We have performed this service for many clients over the years, and have assisted with accreditation of more than a dozen MR scanners in 2007.

Since the ACR issued their newest White Paper on MR Safety in June 2007, UMP has provided many facilities (and their architects and planners) with guidance in design of new MR scanning suites and recommendations for safety improvement for existing suites. UMP is ready to help you to assure image quality, safety and assist with MR Accreditation.

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Upstate Medical Physics, Inc. • 7867 Parish Road • Victor, NY • 14564 • 585-924-0350 • Fax 585-924-5765